Individual
MARSHALL BENJAMIN WOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 WAMPANOAG TRL, RIVERSIDE, RI 02915-1504
(401) 431-9870
(401) 435-7486
Mailing address
36 MIDDLE HWY, BARRINGTON, RI 02806-1205
(401) 241-7736
(401) 435-7486
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD10337
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-61526
UBH
RI
01
—
25677-7
BC/BS OF RI
RI
01
—
408303
BLUE CHIP
RI
05
—
7058679
—
RI
Enumeration date
11/23/2005
Last updated
11/28/2023
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